Austin ED teaching

Wishing all our senior registrars the best of fortune for tomorrow’s written Fellowship Exam….. #kickACEMbutt

Congratulations to Heli @RealHeliSimpson & Mel on passing the ACEM Primary Exams!

A new dabigatran reversal agent – idarucizumab. Promising but more studies needed. resus.me/dabigatran-rev… HT @CritCareReviews

Alcohol withdrawal & a failing liver? Use oxazepam or lorazepam instead of diazepam. No active metabolites, & t1/2 is same in setting CLD.

MTX levels aren't true reflection of clinical state. If on MTX & neutropenic, treat with folinic acid until resolves. Don't rely on a level

Ketamine-Propofol Vs Propofol for Procedural Sedation in the ED: A Systematic Review and Meta-analysis onlinelibrary.wiley.com/doi/10.1111/ac…

Congrats Paige Bebee on winning prestigious Eureka Prize, you must be so proud mum @quietlyEvolving m.smh.com.au/technology/sci…

Bionic liver micro-organs explain mitochondrial toxicity of paracetamol sciencedaily.com/releases/2015/… @ToxRocks @zeff65 @AnselmWong1

EAST criteria for blunt head and neck cerebrovascular injury

Senior registrars please note! Come talk to Victor if you have questions. twitter.com/acemonline/sta…

Normal ECG, 2 neg troponins, normal vital signs = only 0.06% badness. Stop the madness. Be a good ECG reader. ncbi.nlm.nih.gov/m/pubmed/25985…

RT @EMSwami: Excellent post on leadership @felixankel flip.it/aPlsU very true

Naloxone-avoid withdrawal. Use for ventilatory & NOT CNS depression. Draw 0.4 mg in 10mL = 0.04 mg/mL. Give 1mL, 2mL, 3mL, 4mL q1min. Easy!

Best ED Team in the world - CURE MND curemnd.org.au #cure4mnd

Septic shock & need vasopressor? Start ASAP in large peripheral vein or procrastinate about CVC insertion? You decide ncbi.nlm.nih.gov/m/pubmed/25669…

AKA often missed as metabolic acidosis attributed to lactate & presence of ketoacids under appreciated. Must diagnose & treat with glucose!

AKA =HAGMA (ketoacids, lactate), metabolic alkalosis (vomiting) & resp alkalosis (early shock, anxiety). A mixed disorder often missed.

Modern doctor according to kids - the one in the corner on the computer with his back to the pt #qfg3 #quality2015